Kansas Department of Health & Environment

Kansas Family Medical Assistance

Manual (KFMAM)


As of 06/01/2017, KDHE policy unit created a new site for all existing and new documents. Please visit KDHE Policy Memos


Eligibility Policy - Elderly & Disabled Medical

2017 Policy Memos
#2017-05-02 Implementation of the new MS-2126
MS-2126 form, Rev 5-17

#2017-04-02 - Implemention of SSA COLA
Attachments

#2017-04-01 - Processing Applications from the Federally Facilitated Marketplace

#2017-03-04 - Implementation of new policies concerning the ABLE Act, Disability Payback Trusts, Direct Express Accounts, and Fair Hearing

#2017-03-03 - Delayed Implementation of COLA and Implementation of Federal Poverty Levels
F-8 Medical assistance standards 4/17
2017 BCBS


#2017-03-02 - Protected Filing Date

#2017-03-01 - Living Arrangement Changes including HCBS Termination - Special Project
HCBS Termination Instructions
WS-02 Spenddown Estimator Tool

#2017-02-01 - Reviews Processing
Attachments

2016 Policy Memos
#2016-12-02- HCBS Termination - Special Project (Replaced by #2017-03-01)

#2016-12-01 - New LTC Aid Code and VA Benefit Clarification

#2016-09-02 - DCF Medical Case Processing
Attachments

#2016-08-02 - Advanced Payment Process

#2016-08-01 - Long Term Care Eligibility Changes
Attachments

#2016-05-01 - Medical Assistance Eligibility Changes
Attachments

Electronic Tools and Instructions
TOP Worksheet
Applicant - Transfer of Property Calculator Instructions
Recipient - Transfer of Property Calculator Instructions


Elderly and Disabled Medical Policy Memos

2015

#2015-12-01 ERO Transition Policy Memo

#2015-11-01 Definition of Marriage Policy Memo

#2015-06-05 KEES Implementation Instructions - Eligibility Processing
Reasonable Compatibility Tool
Interface Task Guide
Interface Updates Guide
Acceptable Verification for Earned Income
300% Income Chart
List of KEES Forms
NOA - Missing Manual Reference Instructions for Additional Guidance
KEES Standard Copy and Paste Text Spreadsheet (updated 7/10/15)
KEES Case Examples
Tiered Verification Job Aid
W-16 Patient Liability Worksheet

#2015-06-04 Implementation of KEES - Medical Assistance Programs #1 (General Functionality)
KEES Processing Deadlines Code Cards
SSP Application Job Aid
Job Aid - KEES Data Entry into the Worker Portal
KEES Master Code Table
Clearinghouse Job Aid: KEES Aged Out Foster Care
F-8 Kansas Medical Assistance Standards
All Communication Guide
Medical RDB Request

#2015-06-03 Processing Medical Assistance During Transition to KEES
KEES Implementation Calendar June-July 2015
ES-DZA Form

#2015-06-02 Premium Billing Changes
KanCare Online Billing & Credit Card Notification Letter
KanCare Credit Card Notification Letter

Working Healthy Welcome Letter
Working Healthy Online Billing & Credit Card Notification Letter
Working Healthy Credit Card Notification Letter
Working Healthy - Back page of the statement

#2015-06-01 Reasonable Opportunity Period


2014

2015 COLA Changes
Mass change timeline - calendar
Mass change timeline - written
2015 BC/BS insurance premium rates
ES-3104.6 Pickle worksheet
ES-3162 Resource assessment worksheet
ES-3163 Income allocation worksheet
F-8 Medical assistance standards
Buy-in deletion report instructions

#2014-11-02 - KEES Transition

#2014-11-01 - Policy Implementation Instructions and Information for November 1, 2014
Attachment A: MAGI Building Individual Budgeting Units 2014-11-01

#2014-05-01 - Review Process Policy Memo
Attachment

#2014-01-01 - Medical Assistance Program Instructions Related to the Affordable Care Act
Attachments

2013
#2013-12-01 - MAGI Redeterminations Memo
Attachment A: Job Aid - Off system MAGI determination

#2013-09-02 - Initial Implementation of ACA Requirements
October 1 Changes:Common Questions and Answers Scripts 09-30-13
DCF Instruction for Cases in Transition

#2013-09-01 - Application Forms Implementation Instructions Memo
Attachments

#2013-07-01 - KEES Pre-Implementation Instructions and Information Memo
Pre-Implementation Memo Tax Relationship Letter
Pre-Implementation Memo KC4510 Tax Relationship Form

2012
#2012-12-01 - KanCare Implementation Memo
Attachments
#2012-09-02 - Life Insurance Assignment Memo
ES-3171
#2012-09-01 - Inmate Memo
ES-3100.1a
Correctional Facility Index List
#2012-07-01 - KEES Phase 1 Implementation Memo
CSSP Online Application Questions - Eligibility Processing Job Aid
Medicaid Online Application Signature Page
Cover Letter for Unsigned Online Applications
Medical Representative Authorization Form
#2012-03-01 - 2012 Medical Poverty Level Increases

2011
#2011-12-01 - End of LIS Application Processing
#2011-06-01 - Elimination of Resource Test
#2011-03-01 - 2011 Medical Poverty Level Increases
#2011-01-01 - MIPPA MSP Delayed Applications Processing

2010
#2010-10-01 - MIPPA MSP Application Processing
#2010-10-01 - Attachment - MSP Application
#2010-10-01 - Attachment - MSP Data Fields
#2010-10-01 - Attachment - MSP KAECSES Entry
#2010-10-01 - Attachment - QMB Approval Notice
#2010-10-01 - Attachment - LMB Approval Notice
#2010-10-01 - Attachment - ELMB Approval Notice
#2010-10-01 - Attachment - MSP Denial Notice
#2010-09-01 - Working Healthy Premium Exemption
#2010-08-02 - Change in the PMDD Referral Process
#2010-08-02 - Attachment - ES-3901
#2010-08-02 - Attachment - ES-3903
#2010-08-02 - Attachment - ES-3906
#2010-08-02 - Attachment - ES-3909
#2010-08-01 - Increase in the Burial Funds Exemption

2009
#2009-12-02 - Implementation of New MSP Resource Standard and LIS Resource Exemption
#2009-10-01 - Implementation of New Medical Transportation Process
#2009-10-01 Attachment - Transportation Expense Notice
#2009-10-01 Attachment - Transportation Spenddown Form
#2009-10-01 Attachment - Transportation Mailer with Spanish
#2009-09-14 - Applying for VA Benefits as a Potential Resource
#2009-09-14 - Attachment VA Potential Benefits Checklist
#2009-09-14 - Attachment VA Spouse Flow Chart
#2009-06-02 - Online Application Policy Memo
#2009-06-01 - Changes to Working Healthy Premium Requirements

2008
#2008-08-22 - Implementation of Plastic Medical Cards
#2008-08-22 - Plastic Medical Card Desk Guide
#2008-05-19 - Implementation of New HCBS Protected Income Level
#2008-03-02 - Availability of Non-assignable Annuities

2007
#2007-05-02 - State Supplemental Payment Program
#2007-04-13 - PMDT Referral Processes

2006
#2006-12-27 - Medicare Part D Co-Payment Assistance Program
#2006-12-27 Attachment - Medicare Part D Co-Pay Bene Letter
#2006-12-27 Attachment - Medicaid Co-Pay Exception Document